Kungani i-hypoglycemia iyingozi - imiphumela ejwayelekile yokunciphisa ushukela wegazi

I-Hypoglycemia ingenye yezimpawu zesifo sikashukela, esihambisana nokuncipha kwe-glucose yegazi ngaphansi komkhawulo ojwayelekile.

Kwabesilisa, le nkomba ingaphansi kuka-2,5-2.8 mmol / L, kwabesifazane - ngezansi 1.9-2.2 mmol / L, enganeni - ngezansi 1.7-2.2 mmol / L.

Uyini ubungozi be-hypoglycemia, imiphi imiphumela kungavela kuyo isikhathi eside, nokuthi angavimbela futhi ayeke kanjani ukuthuthuka kwayo kufanele kwazeke kubo bobabili isifo sikashukela nezihlobo zakhe.

I-Hyperglycemia noma i-hypoglycemia: izici ezijwayelekile futhi okuyingozi kangakanani

Isimo esiyingozi se-hypoglycemia senzeka ngokufaka ushukela omningi egazini. Kuhlakulela abanesifo sikashukela nabantu abanempilo.

Kungacasulwa umuzwa ophakeme we-insulin, ukuphuza ngokweqile, ukuphuza utshwala, ukuntuleka kwama-carbohydrate ngenxa yokudla, ukuzikhandla komzimba okunamandla, ukukhulelwa.

Abantu abadala abanesifo sikashukela sohlobo 1 noma uhlobo 2 bazwela kakhulu ushukela ophansi kunezingane. I-Hyperglycemia, ngokungafani ne-hypoglycemia, ibonakala ushukela wegazi ophezulu.

Le syndrome ibonwa kwabanesifo sikashukela kanye nabantu abaphethwe i-endocrine ukuphazamiseka. Imbangela yazo ukuntuleka kwe-insulin. Lesi simo sivame ukubonwa ezinganeni ezisanda kuzalwa.

Uma ucabanga ukuthi yisiphi isimo esiyingozi emzimbeni, kufanele kwaziwe ukuthi i-hypoglycemia ne-hyperglycemia kungaholela ekufeni.

Ukuhlukaniswa kwe-hypoglycemic syndrome

Kungenzeka kwisisu esingenalutho noma ngemuva kokudla - i-hypoglycemia esebenzayo. Eyokuqala ijule futhi yinde. Ngokuya kobunzima bokubonakaliswa okunezimpawu, ifomu elithambile nelinzima, i-hypoglycemic coma, iyabonakala.

Emsebenzini wezokwelapha, i-hypoglycemia yezidakamizwa notshwala iyodwa, uhlobo olukhethekile olwenzeka ezinganeni kuze kube unyaka.

Izimbangela kanye nendlela yokukhula

I-Hypoglycemia ingakhula ngezinga elijwayelekile le-glucose, ngokusweleka kwayo kanye nokusetshenziswa okwengeziwe.

Phakathi kwezimbangela zokuhlaselwa kwe-hypoglycemic, kukhona:

• i-overdose yemithi ye-insulin noma yokwehlisa ushukela;
• ku / ekwethulweni kwe-saline;
• ukushoda kwe-hormonal kwabesifazane ngezinsuku ezibucayi;
• ukusebenza ngokomzimba okunamandla;
• ukomisa kanye nokudla okungenampilo;
• ukuba khona kwe-neoplasms esibindini kanye ne-adrenal cortex, sarcoma.

I-pathogenesis ye-hypoglycemic syndrome ezinganeni ezisanda kuzalwa ezinomama onesifo sikashukela ichazwa umphumela kashukela ophezulu egazini lakhe kuleyo fetus ngesikhathi sokukhulelwa.

Ezinye izimbangela zokuvela kwalesi sifo ukuphola, ukuntuleka kwezindawo ezigcinwa glycogenic, ezivame ukubonwa ezinganeni ngaphambi kwesikhathi.

Izimpawu kanye nezinye izimpawu

Ubukhulu bezimpawu ze-hypoglycemia bungakhanya noma bube buteketeke, kwezinye izimo abekho ngokuphelele.

Ukuqala kokuhlaselwa kukhonjiswa ngu:

• ukucwilisa isikhumba;
• ukujuluka;
• imizwa ekhathazayo ezindebeni nasemunweni;
• ukukhuphuka kwenhliziyo;
• ukuthuthumela
• ubuthakathaka bemisipha;
• umuzwa wendlala.

Iqiniso lokuthi izinga ushukela selifinyelele ezingeni elibucayi, futhi ukuqala kwe-hypoglycemic coma kungenzeka, kuboniswa ngokubonakala kobuhlungu bekhanda, isiyezi, ukwesaba, ukuziphatha okungafanele - ukukhuluma, ukuphazamiseka okubukwayo nokuxhumanisa, ukudideka, ukudideka, ukuthuthumela nokuqhaqhazela.

Izinkinga nemiphumela ye-hypoglycemia

Indlela emnene ye-hypoglycemia ihambisana nemizwa engathandeki ethinta inhlala-kahle, imizwa nokusebenza kwesifo sikashukela.

Ingozi ilele ekulahlekelweni kokuzwela ekubonakalisweni kwezimpawu zayo, okwenza kube nzima ukuqashelwa kwabo ngesikhathi esifanele futhi bathathe izinyathelo zokuma. Lokhu kuphakamisa ukwanda kwezinkinga nokukhula kwefomu elinzima.

Ngokugula okukhona, izifo zengqondo, ukubanjwa kwesihlungu sokuqaqamba kwengqondo, ubuchopho kanye nenhliziyo kanye nokuphazamiseka kwemithambo:

• ukuvimbela umsebenzi wokuqonda;
• i-encephalopathy, i-edema ye-cerebral, dementia;
• arrhythmia, ischemia;
• ukwehluleka kwezinso;
• i-cataract, i-retinopathy, i-glaucoma;
• i-neuropathy
• i-pathology yemikhumbi yangaphandle;
• I-hypoglycemic coma.

I-angiopathy yemithambo

I-hyperglycemia ebukhali ibangela ukubhujiswa kwezindonga zemithambo yegazi - ukuthamba noma i-sclerosis yazo, kuholele ekugobhozeni kwegazi okungalunganga.

Imithambo yenhliziyo namaphethelo aphansi kakhulu ihlaselwa i-angiopathy, echazwa umthwalo omkhulu wemishini kubo.

Ngokuya ngokuthi yimiphi imikhumbi ethintekile, bakhipha i-micro- and macroagniopathy, uhlobo ngalunye, nalo, lunezitebhisi eziningana, ezihambisana nezimpawu zomtholampilo ezihambisanayo.

Izinqubo ezibhubhisayo ezenzeka emithanjeni yamalungu aziguquki futhi ziholela ekunciphiseni izicubu nezicubu zezinyawo. Ukuthuthuka kwalesi sifo kunganciphisa uma usithola ngesikhathi bese uqala ukuselapha.

Ukuhlasela kwenhliziyo nokushaywa unhlangothi

Ukwanda kokubonakala kwegazi ngenxa ye-hypoglycemia kuyimbangela yokuthuthukiswa kwe-pathologies yemithambo yenhliziyo nengqondo, ukuthuthukiswa kwe-thrombosis.

Iqembu eliyingozi kakhulu ngabantu asebekhulile. I-Myocardial ischemia ingenye yezinkinga zokuqala ezenzeka ngenxa yesimo se-hypoglycemic.

Ukuhlaselwa yi-Hypoglycemic ebusuku kuyingozi kakhulu, ngoba ukwehla ushukela kwenzeka ngesikhathi sokulala, lapho isiguli singakwazi ukulawula isimo sakhe, esivame ukuba imbangela yokuhlaselwa yisifo senhliziyo ebusuku. Amathuba okushaywa unhlangothi nge-hypoglycemia nawo anda kakhulu.

Coma

Ukwehla ushukela kuya ku-2.2 mmol / L kubangela ukuthuthukiswa komqondo we-hypoglycemic. Ukwehla okusheshayo kwamazinga kashukela, lesi simo sikhula ngokuzumayo futhi ngokushesha, ngaphandle kwezandulelayo.

Ukubonakaliswa komtholampilo okubonisa ukhehla we-hypoglycemic:

• isikhumba esimanzi esimanzi;
• abafundi abahlisiwe;
• ulimi olumanzi;
• ithoni ephezulu yemisipha, ukuthuthumela;
• umfutho wegazi ojwayelekile noma omncane;
• i-tachycardia;
• ukuphefumula kanye nokushisa kuvamile.

Ngokuhlala isikhathi eside kuleli lizwe, kanye nokujula kwalo, ukuphefumula kuya ngokujula, kuba nokuqunjelwa ukujuluka, ukuncipha kwengcindezi yegazi, ukubonakala kwe-bradycardia, ne-neurological pathologies.

Ukufa

Ukwehla ngezikhathi ezithile kwamazinga kashukela kungaholela ekufeni. Ukufa kusuka ku-hypoglycemia kwenzeka ku-6% wohlobo lweshukela sikashukela. Kakhulu, imbangela yakhona ukushaywa unhlangothi, i-arrhythmia, ukushaya kwenhliziyo.

Ngumuphi umonakalo ongapheli ongadala i-hypoglycemia isikhathi eside?

Ukwehlisela izinga le-glucose enanini lomkhawulo kudinga ukwelashwa ngokushesha, ngaphandle kwalokho i-hypoglycemia ende iholela ezinqubekweni ezingeke ziguqulwe ohlelweni lwezinzwa oluphakathi.

Ukubonakaliswa kwe-Neuroglycopenic yendlala yamandla etholwa yizicubu zobuchopho:

• ikhanda
• inkumbulo eyonakele, inkulumo, ukuxhumanisa ukunyakaza, umbono;
• iminyakazo
• ukwehluleka
• coma.

Ngemuva kokuzinza kwesimo esidalwe ukuhlaselwa yi-hypoglycemic, amakhono okuqonda komuntu omdala abuyiselwa isikhathi eside.

I-Posthypoglycemic hyperglycemia - yini?

Ukusabela okufanayo kuyenzeka nasezigulini ezivame ukuba nezinga likashukela ephezulu - zisuka ku-10 mmol / L, esimweni sokuthi yehle zafika ezingeni elijwayelekile, ngokwesibonelo, i-5 mmol / L, futhi umzimba wazithatha njengesongo empilweni. Lesi simo sivezwa ukungalingani okuhlala isikhathi eside kwe-hormonal okungabonakali ukuthi kungelashwa.

Ukunciphisa lesi simo, kunconywa ukuthi ungashintshi umthamo we-insal insulin, ukhuphule imithamo kanye nokulinganiswa kwe-insulin emfushane, futhi ubheke futhi izinga le-glucose njalo emahoreni ama-2.

Usizo lokuqala nokulungiswa okwalandela koshukela wegazi

Ukuthathwa kwe-hypoglycemic kwenzeka ikakhulu kwabanesifo sikashukela besebenzisa imijovo ejwayelekile ye-insulin emfushane. Zizwa izimpawu zokuhlasela, kudingeka zisebenzise i-glucometer ukukala izinga loshukela.

I-hypoglycemia emnene nephakathi ngokulinganayo isuswa ngokuzilawula kwe-glucose; ukuze kumiswe ifomu elinzima, imijovo yeglucose noma glucagon izodingeka ngokuphuthumayo.

Ushukela ojwayelekile uzosiza ukumisa ngokushesha ukuhlaselwa kwe-hypoglycemic okungelula.

Ukuqeda ngokushesha ukuhlasela kuzovumela ukusetshenziswa koshukela noma isiphuzo esimnandi esifudumele, ngaphezu kwalokho, ongcwethi sikashukela bayanconywa ukuba balethe amaphilisi kashukela.

Baqala ukwenza ngokushesha, bekhulisa ushukela. Ukugwema ukuhlaselwa okuphindaphindiwe kwe-hypoglycemic okubangelwa isenzo se-insulin eglucose etholakele, engeza ngoshukela omncane, ngokwesibonelo, ngokudla amasangweji ngesinkwa esinsundu.

Amavidiyo ahlobene

Mayelana nezimbangela nezindlela zokuvikela ukuhlaselwa kwe-hypoglycemia kuvidiyo:

Ukuhlasela kwe-hypoglycemia emnene kunyamalala ngokushesha uma kumiswe kahle. Ukuze wenze lokhu, kufanele ufunde ukuthi ungazi kanjani izimpawu zabo. Ukwazi ukuthi umzimba uphendula kanjani ngokunciphisa ushukela egazini, ngeke kube nzima ukukufeza. Ukuthathwa kwesikhathi ngesikhathi kuzosiza ukuvikela ukukhula kwemiphumela emibi.